Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,266.71 / $8,229.00	Facility		$860.00	$1,266.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.23 / $1,169.96 / $1,210.33	Professional		$1,142.23	$1,169.96	$1,210.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.67 / $1,235.60 / $1,739.40	Professional		$1,019.67	$1,235.60	$1,739.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,612.17 / $1,859.76	Facility		$1,182.48	$1,612.17	$1,859.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,125.64 / $1,612.17 / $2,303.10	Professional		$1,125.64	$1,612.17	$2,303.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,312.70 / $1,423.68 / $1,423.68	Facility		$1,312.70	$1,423.68	$1,423.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.36 / $1,678.26 / $2,573.19	Professional		$1,215.36	$1,678.26	$2,573.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.15 / $1,460.41 / $2,304.71	Professional		$1,043.15	$1,460.41	$2,304.71